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RANKING · 2024 ACS · 51 SHOWN OF 51

Highest uninsured rate, US states

US states ranked by the share of residents without health insurance (2024 ACS). Texas leads at 17.1%. 51 states qualify in total. The top 25 average 10.0%, against an all-states median of 7.2%.

All statesAll rankings
RANKPLACESTATEPOPUNINSUREDVS 2020
USUnited States334,922,4998.4%–
01Texas, TXTX30,188,42417.1%−0.2 pts
02Oklahoma, OKOK4,028,63412.9%−1.5 pts
03Georgia, GAGA10,940,40712.4%−0.6 pts
04Florida, FLFL22,416,07711.5%−1.2 pts
05Nevada, NVNV3,184,61211.4%+0.2 pts
06Wyoming, WYWY582,39711.3%−0.1 pts
07Alaska, AKAK735,70611.0%−1.6 pts
08Mississippi, MSMS2,946,77911.0%−1.0 pts
09Arizona, AZAZ7,378,83810.5%−0.1 pts
10Tennessee, TNTN7,066,38310.0%+0.3 pts
11North Carolina, NCNC10,730,4049.9%−0.8 pts
12New Mexico, NMNM2,120,2469.6%+0.1 pts
13South Carolina, SCSC5,296,2259.6%−0.8 pts
14Alabama, ALAL5,086,7689.2%−0.3 pts
15Idaho, IDID1,934,2629.1%−1.3 pts
16South Dakota, SDSD907,4289.0%−0.6 pts
17Arkansas, ARAR3,049,3919.0%+0.7 pts
18Kansas, KSKS2,947,1978.8%+0.1 pts
19Missouri, MOMO6,191,8148.8%−0.6 pts
20Montana, MTMT1,116,8758.6%+0.2 pts
21Utah, UTUT3,392,3318.4%−0.6 pts
22Louisiana, LALA4,611,9617.8%−0.9 pts
23Colorado, COCO5,862,1897.7%−0.1 pts
24New Jersey, NJNJ9,343,8097.5%−0.1 pts
25Indiana, ININ6,851,0737.4%−0.6 pts
26Nebraska, NENE1,978,7077.2%−0.9 pts
27Virginia, VAVA8,705,1706.9%−1.3 pts
28Illinois, ILIL12,694,7986.9%+0.1 pts
29California, CACA39,287,3776.6%−0.6 pts
30North Dakota, NDND784,8416.5%−0.7 pts
31Ohio, OHOH11,810,2936.4%+0.2 pts
32Delaware, DEDE1,021,1916.3%+0.5 pts
33Maryland, MDMD6,206,0116.3%+0.4 pts
34Washington, WAWA7,816,1166.3%+0.1 pts
35Maine, MEME1,387,8176.2%−1.4 pts
36West Virginia, WVWV1,778,3736.0%−0.2 pts
37Kentucky, KYKY4,534,8246.0%+0.4 pts
38Oregon, OROR4,254,2935.9%−0.7 pts
39Pennsylvania, PAPA13,018,6395.6%+0.0 pts
40Connecticut, CTCT3,624,5085.4%+0.3 pts
41New Hampshire, NHNH1,394,8685.3%−0.7 pts
42Wisconsin, WIWI5,914,8725.2%−0.3 pts
43New York, NYNY19,852,3665.1%−0.3 pts
44Iowa, IAIA3,210,5075.0%+0.3 pts
45Michigan, MIMI10,077,7614.9%−0.5 pts
46Minnesota, MNMN5,739,4454.7%+0.2 pts
47Rhode Island, RIRI1,101,8014.4%+0.1 pts
48Vermont, VTVT647,1063.9%−0.1 pts
49District of Columbia, DCDC681,2943.6%−0.1 pts
50Hawaii, HIHI1,445,2353.6%−0.3 pts
51Massachusetts, MAMA7,044,0562.6%−0.1 pts
SHOWING 1–51 OF 51

UPDATED 2026-08-08 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES

Frequently asked

Which state has the highest uninsured?

Texas ranks #1 with 17.1% (2024 American Community Survey).

What are the top 5 states by uninsured?

Texas, Oklahoma, Georgia, Florida, Nevada.

How many states are in this ranking?

51 states qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.

How is uninsured measured?

Share of residents without health insurance. Source: US Census Bureau, American Community Survey 5-year estimates (2024).